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1063848885
GRACE AMISTOSO
WOODBRIDGE, NJ
NPI
1063848885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NJ 26NC06249800)
Enumeration Date
2013-09-25
Last Update Date
2013-09-25
Business Address
-- GRACE AMISTOSO APN
LOCK BAG & WOODBRIGE AVE E JERSEY STATE PRISON ATTN MEDICAL DEPT
WOODBRIDGE, NJ 07067
Phone number: 732-499-5010
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Mailing Address
-- GRACE AMISTOSO APN
LOCKBAG R E JERSEY STATE PRISON ATTN MEDICAL DEPT
RAHWAY, NJ 07106
Phone number: 732-399-5010
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